The Top Cosmetic Surgery procedures for Men

Typically cosmetic surgery is normally associated with women having procedures such as Breast Augmentation, breast reductions and liposuction. If we discuss men having cosmetic surgery we normally think about well known male actors and celebrities such as Sylvester Stallone, Michael Jackson and Mickey Rourke. These men are not great examples of natural and aesthetic cosmetic surgery results. However; men do have great Cosmetic surgery results it is just that we hear about the extreme and ridiculous results performed on the infamous celebrities.

Statistics released in March 2011 by the American Society of Plastic Surgeons (ASPS) demonstrate that many more men are now becoming more conscious about their appearances and maintaining their appearances that they are now considering some form of Cosmetic surgery. The statistics revealed that the overall increase in cosmetic procedures in men increased by 2% in 2010 when compared to the previous year. Some procedures in particular like Facelift surgery rose by 14% and Liposuction increased by 7% in 2010.

The ASPS statistics for 2010 show that men underwent an increased number of Surgical and minimally invasive procedures; the increase in surgical procedures grew faster than the traditional minimally invasive treatments.

The increase in men having cosmetic surgery may be related to a number of factors; such as an increase in the general fashion and cosmetic industry and therefore an increase in the participation of men in requiring cosmeceuticals and that their requirements do not seem to be unusual or the domain of women. Also with the changes in workplace perceptions and socially men may feel the need to have a rejuvenated and youthful appearance as well as being fit and healthy. Men and women have shifted the age for when they are choosing to have children. As such men may feel that they are now ready, mature and financially capable enough to make the decision to have Cosmetic plastic Surgery.

Interestingly once the minimally invasive procedures such as Botox® or dermal fillers were popular with men. It is apparent that as men age, so do the tissues and the addition of gravity means that the tissues sag. Consequently a much more comprehensive surgical procedure is required and is necessary to lift and rejuvenate the body to show any significant improvement.

Top Ten Cosmetic Procedures for Men (as an increase in percentage)

The list comprises the fastest growing cosmetic procedures between 2009 and 2010.

1. Facelift – 14% increase

2. Otoplasty (Ear Surgery) – 11% increase

3. Dermal Fillers – 10% increase

4. Botox® – 9% increase

5. Liposuction – 7% increase

6. Male breast reduction (Gynaecomastia) – 6% increase

7. Eyelid surgery (Blepharoplasty) – 4% increase

8. Dermabrasion – 4% increase

9. Laser hair removal -4% increase

10. Laser vein treatment – 4% increase

Top Ten Cosmetic Procedures for Men in 2010 (By Volume)

The top 5 Cosmetic Surgical Procedures (Invasive)

1) Rhinoplasty (Nose surgery) - 64,000
2) Eyelid Surgery (Blepharoplasty) – 31,000
3) Liposuction/Liposculpture – 24,000
4) Male Breast Reduction (Gynaecomastia surgery) – 18,000
5) Hair Transplantation – 13,000

The Top Five Cosmetic Minimally-Invasive Procedures

1) Botox ® – 337,000
2) Laser Hair Removal – 165,000
3) Microdermabrasion – 158,000
4) Chemical Peel – 90,000
5) Dermal Fillers – 78,000

The majority of cosmetic surgery clinics show that whilst there are high profile men having cosmetic surgery, clearly many more men are “average” males who are looking to improve their looks and therefore to look as good as they feel. Many of these men are normally seen as tough male role models such as firemen, plumbers and bricklayers.

There are the men who are still quite physically active, perhaps approaching retirement who still wish to have a rejuvenated appearance to go along with their active lifestyle. It is not unusual in my practice to perform a combined Facelift, neck lift as well as an eyelid lift for mature men seeking to reverse the effects of the sun, genetic aging and gravity and to create a rejuvenated face and neck.

After having performed the cosmetic surgery procedure, it is not uncommon to observe a new invigorated male patient. The procedure itself appears to have provided a greater sense of self confidence; male breast reduction is such an example. Many males with large breasts commonly known as “man boobs” are often reluctant to go to the beach or engage in any social activity where they need to remove their shirt.

Following male breast reduction surgery most patients are motivated to join gyms to improve their general health, wellbeing and fitness levels. They have an increased desire to lose weight and build muscle to match their improved chest/breast area.

Many of these men have very supporting partners often of similar age, which is contrary to the popular perception that these are men with much younger partners. In my practice many of these women will not have had any cosmetic procedures or surgery, and so this has not been a natural or expected transition for their male partner to consider cosmetic surgery. It is a choice that these men make to help them maintain a rejuvenated, natural and aesthetically pleasing appearance for themselves and sometimes for their partners as well.

If you are looking for an experienced and skilled Cosmetic Surgeon who performs male cosmetic surgery procedures and non-invasive procedures such as Botox® and dermal fillers then contact Dr. Bobby Kumar today on (02) 9571 4850 or 0430 491 009 for an appointment at the Bareaesthetics Cosmetic Surgery clinics (Sydney,Port Macquarie or Adelaide).

Breast Lift with Breast Implants

A woman’s breasts often define her femininity, and with the vast differences in shape, size, and appearance, breasts further help to define a woman’s individualism. The breasts undergo changes in response to factors such as genetics, aging, pregnancy and breast feeding, weight gain or loss, and hormonal fluctuations. All of these factors can cause the breast size and shape to change. These changes can be dissatisfying and can make women feel as if they are losing some of their femininity and youthful vitality.

Breast augmentation alone cannot restore the shape of the breasts for those women who have significantly “droopy” breasts. For those women who would like to have a breast enlargement to increase the size of their breasts as well as restore a firm, more upright position, a breast augmentation in combination with a breast lift can improve body contours and revitalize their appearance.

Incisions for the breast lift and breast augmentation are typically around the Nipple, or the Nipple and down the vertical part of the lower breast.

Mastopexy augmentation, or a breast lift augmentation, tightens the breast skin, lifts the nipple to a better height and increases the size for better upper chest fullness. My preference is a partial sub pectoral implant plane so the recovery from this surgery is a bit lengthier than just a breast lift. Most patients are able to return to work after two weeks and to the gym after 6-8 weeks.

Breast Lift and Breast Enlargement

Breast Lift/ Mastopexy Surgery (No Breast Implants)

Many patients complain to me about the droopiness of their breasts. Some are happy with the overall volume or size of their breasts, but feel they tend to wrinkle and fold in a bra. Mastopexy, or breast lift surgery, can reduce the skin excess and lift the saggy nipple to a more acceptable level. No breast implant is necessary if a patient is happy with her overall size. The surgery takes about 2-3 hours to perform and the recovery is about one week off from work.

Breast Reduction Surgery

Many women complain of back, shoulder and neck discomfort due to the large size of their breasts. Most Medical Insurance companies will cover some if not most of the cost of breast reduction surgery. I use my judgment along with the patient’s request to come up with the most proportional breast size.

Reduction mammaplasty can improve the shape and size of the breasts allowing one to wear lighter bras and camisoles. I prefer the Hall Findlay modification of a vertical scar breast reduction as I feel it gives the best projection and shape of the breast. Standard anchor reduction mammaplasty procedures result in flattening (“bottoming out”) and widening of the breast with time. I have found the vertical breast reduction retains a better shape over the years.

The surgery takes me about 3 hours to perform under general anesthesia. I usually combine some liposuction of the lateral chest to reduce the width of the breasts as well. The recovery is about one to 2 weeks off from work and 6-8 weeks away from the gym. The size change is apparent immediately; however postoperative swelling can take 6-8 weeks to settle after which patients can shop for a bra appropriate to their new breast size.

Breast Reduction Hall Findlay Vertical Reduction Technique

Male Breast Reduction/ Gynaecomastia Surgery

Some boys and men are bothered by excess fat and breast tissue known as Gynaecomastia. They are frequently very self conscious and will not take off their shirts at the beach. A solution is male breast reduction surgery, or subcutaneous mastectomy, a procedure that removes extra breast tissue and fat to give a more sculpted look to the male chest.

There are several techniques used such as liposuction alone, direct areolar tissue reduction surgery with a short peri areolar scar (Scar around the Nipple only), and full breast reduction surgery with scars around the nipple and along the chest (for very droopy breasts such as those in massive weight loss patients).

The full result is usually seen in a few weeks however scars take 6-12 months to completely mature and fade with time.

Male Breast Reduction Surgery (Gynaecomastia)

Cosmetic Surgeon Dr. Bobby Kumar performs all of these procedures. For a Consultation today in Sydney, Adelaide or Port Macquarie Contact us on (02) 9571 4850 or 0430 491 009. Otherwise visit www.bareaesthetics.com.au for more details.

Bare Aesthetic Cosmetic Surgery Clinics in Sydney, Adelaide and Port Macquarie

A person’s body has become such a talked about and noticed thing. One cannot look in the mirror without thinking of something wrong with their body. Those patients considering Augmentation, enhancement, rejuvenation or correction of their body there is Cosmetic Surgery.

Cosmetic Surgery offers the ability to produce aesthetic and natural results; however, patients need to have realistic goals and expectations and to remember that it  is “Real Surgery” and by being Cosmetic Surgery in no way diminishes the seriousness of the surgery, its outcomes and potential complications.

Several Cosmetic Surgery procedures are included in the “body contouring” procedures list. These include such procedures as Liposuction or Liposculpture, Tummy Tuck or Abdominoplasty, Arm Lift or Brachioplasty, Thigh Lift, Calf and Pectoral Augmentation, and Male Breast Reduction or Male Gynaecomastia Surgery.

Also known as suction lipectomy, liposuction will slim, sculpture and reshape specific areas of a person’s body by removing extra fat deposits. This will improve both the contours and proportion of the body. Ultimately, this Cosmetic Surgery procedure will enhance the self-image of any patient.

Tummy tuck surgery often referred to as Abdominoplasty will remove the excess fat like liposuction, but will also remove the excess skin. In most cases this procedure will restore separated or weakened muscles and will create an abdominal profile that is both firmer and smoother than before. After a person has lost a large amount of weight, they will likely need what many people call a “full body lift.” This surgery, or set of procedures will improve the tone and shape of a person’s underlying tissues that support skin and fat. A full body lift will also remove extra fat and skin.

Tummy Tuck

Liposuction and Abdominoplasty surgery is not meant to replace a healthy diet and exercise when attempting to lose weight or have a healthy weight. Typically most patients seeking this form of Cosmetic Surgery have tried everything and may have redundant fat, skin or both and they are finding it difficult to lose the redundant pockets of fat and tighten the excess skin.

Cosmetic Arm surgery is referred to by many names. Arm tuck, Brachioplasty, and Arm Lift and “Tuck shop Arm surgery” are the most common. The surgery is designed to remove flabby, redundant, and sagging skin folds in a person’s upper arms. Hanging arm skin folds are not just unsightly, but also will interfere with one’s ability to fit into a sleeved top. It will also cause underarm skin rash and irritation.

Arm Lift

Patients seeking Arm Lift surgery realise that they will have a long scar often from the armpit to the elbow on the inside of their arm. The scar will fade and be a fine line; despite this patients seeking this Surgery do so to improve the functional and aesthetic appearance of their arms.

A Thigh Lift procedure will reshape the thighs by reducing the excess skin, and in some cases fat. This will result in smoother skin and a better-proportioned contour of the lower body and thighs. There are various cosmetic surgery procedures that are available to those who would like to have fuller, perky, youthful buttocks with a more sensual body profile. The procedure for augmentation and enhancement of the buttock specifically varies depending on what is the actual deficiency and what is missing.

Calf augmentation is a Cosmetic Surgery procedure that is designed to enhance the appearance of one’s calves. It is also capable of enlarging the size of one’s calves as well as making them appear more proportionate in shape and size to the rest of the lower extremity of the body. In this procedure, calf implants of various contours, shapes, and sizes will be inserted over the existing calf muscles. This will achieve a fuller and better shape and contour to one’s calves.

Pectoral augmentation, often just called “Pec” implant surgery, is a procedure that is designed to add fullness, shape, and size to a male’s chest. The procedure involves inserting an implant into a space created under the pectoral muscles in a similar fashion to performing an Axillary approach Breast Augmentation or Breast Enlargement in females.

Pectoral Implants

Male Breast Reduction may be one of the most beneficial body contouring procedures. Gynaecomastia (female-like breasts in men) is a common problem that may affect only one or both breasts. There is no known cause in most cases. Surgery is the only known physical remedy for the problem. In the case of obesity, weight loss can alter the condition, but for many, it will not eliminate it.

Male Breast Reduction

For more details and a consultation with our experienced Cosmetic Surgeon Dr. Bobby A. Kumar MB,BS(UNSW)  BSc(UNSW) FACCS, call today for all appointments in Sydney, Port Macquarie and Adelaide on           (02) 9571 4850 or 0430 491 009. Alternatively visit www.bareaesthetics.com.au

Breast Augmentation

How many jokes do we hear or see about women’s breasts as we get older? Whilst some people may find them amusing, for some women they represent a harsh and embarrassing personal reality they face everyday. There is only so much a bra can do to support breasts that become saggy and lengthen with age exacerbated with pregnancy and breast feeding.

Cosmetic Surgery can offer a resolution to the problem of sagging and droopy breasts in the form of breast lift. A breast lift involves removal of excess skin and tissue from the breast and reshaping of the breast, to lift the breast to its correct position and restore shape. In some cases, restoring shape and volume also requires insertion of a breast implant. In other cases, a breast reduction may be combined with a breast lift to achieve a natural shape, size and proportion.

Does a breast lift result in smaller breasts? It is possible that your breasts may become smaller, remembering that the excess skin and tissue that is removed is what was causing the sagging. However, usually changes are seen in shape and not cup size. If size is an issue, there is the option of inserting breast implants.

Breast Lift or Breast Reduction

There are different techniques for different types of breast lift. It is not a ‘one technique for everyone’ surgery. In some cases, breast lift can be in part achieved by inserting a breast implant which fills out excess skin and tissue. However, breast implants do obviously add weight to the breasts and can make them more droopy and saggy. Many women who have breast implants without a breast lift are ultimately dissatisfied with the outcome of larger breasts and not having resolved the remaining issues of shape sag and droop.

Periareolar, Vertical and Anchor scars for Breast Lift

Polyurethane Breast Implants may offer a glimmer of hope for women with minimal sag who do not wish to have scars or Incisions on the lower pole of their breasts or around their nipples.

Breast Lift only

Breast Lift and Breast Enlargement with Implant

The most important first step is to have a consultation with a Cosmetic Surgeon to discuss your surgical options. An examination is necessary (including measurements and photographs) to provide the Cosmetic Surgeon with information to evaluate what technique is most appropriate for you to achieve the desired results. How much lift and tissue removal is required will depend on how much sag/droop is present, the location of the nipple and areola in relation to the breast, the breast position on the chest and what you are aiming to accomplish.

Many women today are realising they don’t have to be defeated by age and gravity when it comes to the shape and appearance of their breasts. Even the best bras don’t prevent sagging and drooping over time. Breast lift offers women a surgical option to restore shape and proportion to their breasts, ease embarrassment and self-consciousness and improve overall confidence.

Cosmetic Surgeon Dr. Bobby A. Kumar is experienced in many forms of Breast Lift and Breast Reduction surgery. Make an appointment for a thorough review and consultation to provide you with appropriate options for Breast Lift or Breast Reduction Surgery.

Bare Aesthetic Cosmetic Surgery Clinics are located in Sydney, Adelaide and Port Macquarie.

Not all women are endowed with large breasts, so more women continue to choose to pursue breast enlargement surgery as a solution. Other reasons that prompt women to seek this surgery may be more restorative or reconstructive, for example, to restore breast size and shape following pregnancy and breast feeding, significant weight loss or breast removal. This kind of surgery can restore a women’s self confidence and boost self esteem. A small, sagging and deflated breast may be a psychological and emotional issue for many women. Breast enlargement surgery can usually provide a safe and effective solution with a minimum recovery period. In this day and age when there is an increased focus on our appearance, many women are starting to consider breast enlargement surgery to enhance their appearance, body proportion and contours.

Breast enlargement surgery offers other advantages. Breast implants can be used to increase volume for women whose breasts have not fully developed. Breast implants can also effectively address Breast ptosis (breast droop or sag) in some women. Breast augmentation surgery can also be used to address asymmetry of the breasts.

Among the conventional Cosmetic Surgical techniques available today, breast enlargement surgery is by far the most common. The procedure may be performed under general anaesthetic or twilight sedation, usually at a day surgery hospital. After the Cosmetic Surgeon makes an incision in the breast, the breast implants are inserted and secured in place in a pocket within the breast tissue. The incision can be made in the inconspicuous skin crease just under the breast, called the mammary fold. Other potential incision sites include around the nipple areola or under the armpit.

Anyone who is seriously considering breast enlargement surgery should conduct comprehensive research and try to learn as much as possible about the procedure before making a decision to pursue surgery. As with any surgical procedure, breast enlargement surgery entails complications and risks, including bleeding, infection, leakage/rupture of implant, seroma or capsular contracture. It is important to weigh these risks carefully with the advantages of surgery. Finally, choose the best Cosmetic Surgeon with whom you can feel comfortable, safe and fully informed.

2. Undergo thorough medical history.
Your medical history plays an important part of your preparation for breast augmentation. There are lots of things to consider before you proceed with breast augmentation; these include your detailed medical history of related medical illnesses or conditions, family history of breast disease, medications you take (including prescription, non-prescription and herbal medications) and lifestyle habits (such as smoking and alcohol consumption). Doing so will enable the Surgeon to inform you as to how can these can affect your breast augmentation either before, during or after the procedure.

3. Choose which type of breast augmentation is best for you.
In your consultation, your Cosmetic Surgeon will provide you with recommendations as to which type of breast augmentation is best for you based on your goals and your body, including your size, shape and proportions. The incision placement will also be discussed; most commonly incisions are placed in the mammary fold under the breast, but some women seek the incision site around the nipple and areola complex or an axillary incision under the armpit.
You will also discuss the breast implants that are most suitable for you and that provide your desired results. Breast implants vary in their size, shape, volume, profile, projection, texture and materials. You can choose between a saline or silicone breast Implants, but most women choose silicone Implants. Your Cosmetic Surgeon will discuss this information thoroughly with you, your options and his/her recommendations.

4. Understanding the benefits, limitations and risks of breast augmentation.
Other significant information that the Cosmetic Surgeon will discuss with you are the risks, limitations and potential complications of breast augmentation surgery. In deciding whether to pursue breast implants, you have to weigh up these issues with your goals, motivations and the potential benefits of surgery.

Summary
The overall key to considering and potentially pursuing breast augmentation is making an informed personal decision. A well experienced and qualified Cosmetic Surgeon will take the time to provide you with all the information you require to make your decision. It is always recommended to seek two or three opinions before choosing a Cosmetic Surgeon with whom you feel comfortable and that you trust.

Preparing for your breast augmentation plans can be simple and easy, provided that you know the steps to take. These suggestions and tips provide you with a guide to achieve the best outcome.

Following childbirth and significant weight loss there are areas of fat deposition which are difficult to reduce despite regular exercise and dieting. The abdominal muscles are still lax and will bulge despite doing exercises to strengthen the “stomach muscles”.Abdominoplasty(Tummy Tuck) is the surgical procedure which removes the excess fat and skin apron that is otherwise difficult to reduce via conventional exercises. It is not a procedure or an alternative for weight reduction or as management for obesity.

Abdominoplasty is often combined with liposuction/liposculpture to contour the thorax and abdomen to give patients a defined and aesthetically pleasing figure.A Tummy Tuck requires a lower abdominal incision and can incorporate old caesarean scars with the added benefit of removal of some of the stretch marks. Patients should be aware that scar formation will occur; every effort is made to keep the scar within the underwear or clothing line.

Occasionally patients will require relocation of the umbilicus (“belly button”) when a significant amount of abdominal tissue is removed and during closure of the wound the umbilicus becomes distorted.

Tummy Tucks are performed in an accredited operating theatre under general anaesthetic with an anaesthetist; patient recovery is typically over several weeks.

The common complications are: Discomfort, bruising, a taut abdomen and decreased sensitivity of the skin.Less frequent or rare complications include: Deep vein thromboses and Pulmonary Thrombi (lung clots),Bleeding, seroma, wound breakdown and infection.

Smokers have a significantly higher risk of all complications.

Liposuction/Liposculpture

Liposuction removes fat cells from regions of fat deposition which are not able to be shifted by regular exercise and a sensible diet. The procedure therefore is not meant to replace these modalities for treating obesity and it is not a weight loss procedure.

Whilst liposuction removes fat cells it is the surgeon’s cosmetic/aesthetic skill to contour and define the regions of the body being operated on, Liposculpture is a reflection of the surgeon’s artistic ability and expertise to achieve the results.

Fat cells are removed from various levels of the area being treated as well as from adjacent areas to prevent complications such as dimpling and contour irregularities. An important consideration is how much fat the surgeon leaves behind; resulting in a better aesthetic result.

Liposuction/Liposculpture is performed in an accredited day surgery under anaesthetic with an anaesthetist.

Patients require several months to recover and will be required to wear a garment to compress the tunnels produced by liposuction and to have the tissues adhere to form a new contoured and defined shape.

The common complications are: Bruising, pain and discomfort, decreased areas of sensitivity which heal with time. Less common or rare complications are: Deep vein thromboses, pulmonary thrombi (Lung clots), bleeding, seroma and infection.

Smokers have a significantly higher risk of all complications.

Gynaecomastia (Male Breast Enlargement)

Men can develop fatty or fibrous breast enlargement, which may occur for a variety of reasons such as Metabolic, physiological, age related and medication induced.

Many men find the appearance unsightly and they develop poor self image, avoiding certain social situations requiring removal of shirts or T-shirts.The surgical management for Gynaecomastia is either Liposuction alone or a combination of liposuction and excision of the fibrous component of the breast tissue. A small incision is made around the lower half of the nipple areola complex; this eventually heals well and fades over 2-3 months.